title: Free vascularized fibular graft as a salvage procedure for large clavicular defect: a two cases report.
abstract: The gold standard technique for treating clavicle non-union is based on cortico-cancellous bone graft harvested from the iliac crest and fixed with a plate. In cases of large clavicular defects, this surgical procedure becomes ineffective and only reconstruction using vascularized bone grafts can be considered. Nevertheless, there are few reports in the literature dealing with this procedure and surgical technique remains unclear. We expose here a technique and results of free vascularized fibular graft for two patients with large clavicular defects.
  
  
  METHODS
  Level IV, technical note.
authors.affiliation: Unité de chirurgie de la main, service d'orthopédique chirurgicale, CHU La Cavale-Blanche, boulevard Tanguy-Prigent, 29609 Brest cedex, France; Service de chirurgie de la main et du membre supérieur, CHU Lapeyronie, 371, avenue du doyen Gaston-Giraud, 34295 Montpellier cedex 5, France. Electronic address: hubert.lenoir@laposte.net.
authors.forename: H
authors.initials: H
authors.lastname: Lenoir
authors.forename: T
authors.initials: T
authors.lastname: Williams
authors.forename: N
authors.initials: N
authors.lastname: Kerfant
authors.forename: M
authors.initials: M
authors.lastname: Robert
authors.forename: D
authors.initials: D
authors.lastname: Le Nen
mesh_terms: D016025:Bone Transplantation / Q000379:methods; D002968:Clavicle / Q000293:injuries / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods
keywords: Clavicle; Cleidectomy; Non-union; Reconstruction; Vascularized fibula graft